H3959-041-000 HMOPOS
Exact segment geography Aetna Medicare Advantra Eagle Plus (HMO-POS)
Aetna Medicare
- Premium
- $0 / month
- MOOP
- $5,500 in-network
- Drug coverage
- Not reported
H3959-041-000 — Open exact plan page → H3959-002-000 HMOPOS
Exact segment geography Aetna Medicare Advantra Enhanced (HMO-POS)
Aetna Medicare
Prescription-drug coverage reported
- Premium
- $39 / month
- MOOP
- $5,500 in-network
- Drug coverage
- Reported
H3959-002-000 — Open exact plan page → H5522-017-000 Local PPO
Exact segment geography Aetna Medicare Advantra Signature Giveback (PPO)
Aetna Medicare
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H5522-017-000 — Open exact plan page → H3959-076-000 HMO
Exact segment geography Aetna Medicare Chronic Care (HMO C-SNP)
Aetna Medicare
Chronic or Disabling ConditionPrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $7,150 in-network
- Drug coverage
- Reported
H3959-076-000 — Open exact plan page → H3959-075-000 HMO
Exact segment geography Aetna Medicare Chronic Care Value (HMO C-SNP)
Aetna Medicare
Chronic or Disabling ConditionPrescription-drug coverage reported
- Premium
- $12.80 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H3959-075-000 — Open exact plan page → H3959-036-000 HMO
Exact segment geography Aetna Medicare Dual (HMO D-SNP)
Aetna Medicare
Dual-EligiblePrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H3959-036-000 — Open exact plan page → H3959-090-000 HMO
Exact segment geography Aetna Medicare Full Dual Extra (HMO D-SNP)
Aetna Medicare
Dual-EligiblePrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H3959-090-000 — Open exact plan page → H3959-066-000 HMO
Exact segment geography Aetna Medicare Longevity (HMO I-SNP)
Aetna Medicare
InstitutionalPrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H3959-066-000 — Open exact plan page → H5522-005-000 Local PPO
Exact segment geography Aetna Medicare Premier Plus (PPO)
Aetna Medicare
Prescription-drug coverage reported
- Premium
- $39 / month
- MOOP
- $7,150 in-network
- Drug coverage
- Reported
H5522-005-000 — Open exact plan page → H5521-261-000 Local PPO
Exact segment geography Aetna Medicare Signature (PPO)
Aetna Medicare
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $5,500 in-network
- Drug coverage
- Reported
H5521-261-000 — Open exact plan page → H3959-011-000 HMOPOS
Exact segment geography Aetna Medicare Signature Plus (HMO-POS)
Aetna Medicare
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $5,500 in-network
- Drug coverage
- Reported
H3959-011-000 — Open exact plan page → H9968-001-000 HMO
Exact segment geography American Health Advantage of Pennsylvania (HMO I-SNP)
American Health Advantage of Pennsylvania
InstitutionalPrescription-drug coverage reported
- Premium
- $12.80 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H9968-001-000 — Open exact plan page → H6852-020-000 HMO
Exact segment geography DEVOTED C-SNP ENHANCED 020 PA (HMO C-SNP)
Devoted Health
Chronic or Disabling ConditionPrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $7,050 in-network
- Drug coverage
- Reported
H6852-020-000 — Open exact plan page → H6852-031-000 HMO
Exact segment geography DEVOTED C-SNP GIVEBACK EXTRAS 031 PA (HMO C-SNP)
Devoted Health
Chronic or Disabling ConditionPrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $7,950 in-network
- Drug coverage
- Reported
H6852-031-000 — Open exact plan page → H6852-022-000 HMO
Exact segment geography DEVOTED C-SNP PLUS 022 PA (HMO C-SNP)
Devoted Health
Chronic or Disabling ConditionPrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H6852-022-000 — Open exact plan page → H6018-010-000 Local PPO
Exact segment geography DEVOTED CHOICE 010 PA (PPO)
Devoted Health
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $6,600 in-network
- Drug coverage
- Reported
H6018-010-000 — Open exact plan page → H6018-011-000 Local PPO
Exact segment geography DEVOTED CHOICE GIVEBACK 011 PA (PPO)
Devoted Health
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H6018-011-000 — Open exact plan page → H6852-014-000 HMO
Exact segment geography DEVOTED CORE 014 PA (HMO)
Devoted Health
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $6,550 in-network
- Drug coverage
- Reported
H6852-014-000 — Open exact plan page → H6852-025-000 HMO
Exact segment geography DEVOTED DUAL FULL 025 PA (HMO D-SNP)
Devoted Health
Dual-EligiblePrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H6852-025-000 — Open exact plan page → H6852-005-000 HMO
Exact segment geography DEVOTED DUAL PLUS 005 PA (HMO D-SNP)
Devoted Health
Dual-EligiblePrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H6852-005-000 — Open exact plan page → H6852-015-000 HMO
Exact segment geography DEVOTED GIVEBACK 015 PA (HMO)
Devoted Health
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H6852-015-000 — Open exact plan page → H6852-035-000 HMO
Exact segment geography DEVOTED GIVEBACK EXTRAS 035 PA (HMO)
Devoted Health
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $7,950 in-network
- Drug coverage
- Reported
H6852-035-000 — Open exact plan page → H3954-162-000 HMO
Exact segment geography Geisinger Gold Heritage (HMO)
Geisinger Gold
- Premium
- $0 / month
- MOOP
- $6,700 in-network
- Drug coverage
- Not reported
H3954-162-000 — Open exact plan page → H3954-097-000 HMO
Exact segment geography Geisinger Gold Secure Rx (HMO D-SNP)
Geisinger Gold
Dual-EligiblePrescription-drug coverage reported
- Premium
- $1 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H3954-097-000 — Open exact plan page → H3954-163-000 HMO
Exact segment geography Geisinger Gold Value Rx (HMO)
Geisinger Gold
Prescription-drug coverage reported
- Premium
- $29 / month
- MOOP
- $9,000 in-network
- Drug coverage
- Reported
H3954-163-000 — Open exact plan page → H3949-047-000 HMO
Exact segment geography HealthSpring Preferred (HMO)
HealthSpring
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $7,150 in-network
- Drug coverage
- Reported
H3949-047-000 — Open exact plan page → H3949-048-000 HMO
Exact segment geography HealthSpring Preferred Plus (HMO)
HealthSpring
Prescription-drug coverage reported
- Premium
- $32 / month
- MOOP
- $5,700 in-network
- Drug coverage
- Reported
H3949-048-000 — Open exact plan page → H3949-009-000 HMO
Exact segment geography HealthSpring TotalCare Plus (HMO D-SNP)
HealthSpring
Dual-EligiblePrescription-drug coverage reported
- Premium
- $12.80 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H3949-009-000 — Open exact plan page → H7849-106-000 Local PPO
Exact segment geography HealthSpring True Choice (PPO)
HealthSpring
Prescription-drug coverage reported
- Premium
- $7 / month
- MOOP
- $7,500 in-network
- Drug coverage
- Reported
H7849-106-000 — Open exact plan page → H3957-047-001 HMO
Exact segment geography Community Blue Medicare HMO Signature (HMO)
Highmark Blue Cross Blue Shield or Highmark Blue Shield
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $6,950 in-network
- Drug coverage
- Reported
H3957-047-001 — Open exact plan page → H3957-050-001 HMO
Exact segment geography Complete Blue HMO Distinct (HMO)
Highmark Blue Cross Blue Shield or Highmark Blue Shield
Prescription-drug coverage reported
- Premium
- $40 / month
- MOOP
- $6,450 in-network
- Drug coverage
- Reported
H3957-050-001 — Open exact plan page → H3916-035-001 Local PPO
Exact segment geography Complete Blue PPO Distinct (PPO)
Highmark Blue Cross Blue Shield or Highmark Blue Shield
Prescription-drug coverage reported
- Premium
- $43 / month
- MOOP
- $6,950 in-network
- Drug coverage
- Reported
H3916-035-001 — Open exact plan page → H3916-057-000 Local PPO
Exact segment geography Complete Blue PPO Merit (PPO)
Highmark Blue Cross Blue Shield or Highmark Blue Shield
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $8,300 in-network
- Drug coverage
- Reported
H3916-057-000 — Open exact plan page → H3916-041-001 Local PPO
Exact segment geography Complete Blue PPO Signature (PPO)
Highmark Blue Cross Blue Shield or Highmark Blue Shield
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $7,150 in-network
- Drug coverage
- Reported
H3916-041-001 — Open exact plan page → H3916-001-000 Local PPO
Exact segment geography Freedom Blue PPO Classic (PPO)
Highmark Blue Cross Blue Shield or Highmark Blue Shield
Prescription-drug coverage reported
- Premium
- $266 / month
- MOOP
- $4,500 in-network
- Drug coverage
- Reported
H3916-001-000 — Open exact plan page → H3916-022-000 Local PPO
Exact segment geography Freedom Blue PPO Select (PPO)
Highmark Blue Cross Blue Shield or Highmark Blue Shield
Prescription-drug coverage reported
- Premium
- $157 / month
- MOOP
- $5,000 in-network
- Drug coverage
- Reported
H3916-022-000 — Open exact plan page → H3916-067-000 Local PPO
Exact segment geography Freedom Blue PPO Valor (PPO)
Highmark Blue Cross Blue Shield or Highmark Blue Shield
- Premium
- $0 / month
- MOOP
- $6,000 in-network
- Drug coverage
- Not reported
H3916-067-000 — Open exact plan page → H3916-032-000 Local PPO
Exact segment geography Freedom Blue PPO ValueRx (PPO)
Highmark Blue Cross Blue Shield or Highmark Blue Shield
Prescription-drug coverage reported
- Premium
- $97 / month
- MOOP
- $5,500 in-network
- Drug coverage
- Reported
H3916-032-000 — Open exact plan page → H3957-043-001 HMOPOS
Exact segment geography Security Blue HMO-POS Basic (HMO-POS)
Highmark Blue Cross Blue Shield or Highmark Blue Shield
- Premium
- $7 / month
- MOOP
- $5,900 in-network
- Drug coverage
- Not reported
H3957-043-001 — Open exact plan page → H3957-046-001 HMOPOS
Exact segment geography Security Blue HMO-POS Deluxe (HMO-POS)
Highmark Blue Cross Blue Shield or Highmark Blue Shield
Prescription-drug coverage reported
- Premium
- $188 / month
- MOOP
- $4,500 in-network
- Drug coverage
- Reported
H3957-046-001 — Open exact plan page → H3957-045-001 HMOPOS
Exact segment geography Security Blue HMO-POS Standard (HMO-POS)
Highmark Blue Cross Blue Shield or Highmark Blue Shield
Prescription-drug coverage reported
- Premium
- $132 / month
- MOOP
- $5,000 in-network
- Drug coverage
- Reported
H3957-045-001 — Open exact plan page → H3957-031-000 HMOPOS
Exact segment geography Security Blue HMO-POS ValueRx (HMO-POS)
Highmark Blue Cross Blue Shield or Highmark Blue Shield
Prescription-drug coverage reported
- Premium
- $53 / month
- MOOP
- $5,500 in-network
- Drug coverage
- Reported
H3957-031-000 — Open exact plan page → H3957-048-000 HMO
Exact segment geography Together Blue Medicare HMO with AHN Signature (HMO)
Highmark Blue Cross Blue Shield or Highmark Blue Shield
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $6,250 in-network
- Drug coverage
- Reported
H3957-048-000 — Open exact plan page → H5932-001-000 HMO
Exact segment geography Highmark Wholecare Medicare Assured Diamond (HMO D-SNP)
Highmark Wholecare Medicare Assured
Dual-EligiblePrescription-drug coverage reported
- Premium
- $12.80 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H5932-001-000 — Open exact plan page → H5932-009-000 HMO
Exact segment geography Highmark Wholecare Medicare Assured Ruby (HMO D-SNP)
Highmark Wholecare Medicare Assured
Dual-EligiblePrescription-drug coverage reported
- Premium
- $12.80 / month
- MOOP
- $6,500 in-network
- Drug coverage
- Reported
H5932-009-000 — Open exact plan page → H5525-085-001 Local PPO
Exact segment geography Humana Essentials Plus Giveback (PPO)
Humana
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $8,000 in-network
- Drug coverage
- Reported
H5525-085-001 — Open exact plan page → H6622-054-000 HMO
Exact segment geography Humana Gold Plus H6622-054 (HMO)
Humana
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $8,260 in-network
- Drug coverage
- Reported
H6622-054-000 — Open exact plan page → H5216-221-000 Local PPO
Exact segment geography Humana USAA Honor Giveback (PPO)
Humana
- Premium
- $0 / month
- MOOP
- $6,700 in-network
- Drug coverage
- Not reported
H5216-221-000 — Open exact plan page → H5525-059-000 Local PPO
Exact segment geography Humana USAA Honor Giveback with Rx (PPO)
Humana
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $7,350 in-network
- Drug coverage
- Reported
H5525-059-000 — Open exact plan page → H5525-051-001 Local PPO
Exact segment geography Humana Value Choice (PPO)
Humana
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $8,000 in-network
- Drug coverage
- Reported
H5525-051-001 — Open exact plan page → H5216-116-000 Local PPO
Exact segment geography HumanaChoice Giveback H5216-116 (PPO)
Humana
- Premium
- $0 / month
- MOOP
- $4,150 in-network
- Drug coverage
- Not reported
H5216-116-000 — Open exact plan page → H5216-120-000 Local PPO
Exact segment geography HumanaChoice H5216-120 (PPO)
Humana
Prescription-drug coverage reported
- Premium
- $107 / month
- MOOP
- $7,600 in-network
- Drug coverage
- Reported
H5216-120-000 — Open exact plan page → H5525-086-001 Local PPO
Exact segment geography HumanaChoice H5525-086 (PPO)
Humana
Prescription-drug coverage reported
- Premium
- $39 / month
- MOOP
- $5,800 in-network
- Drug coverage
- Reported
H5525-086-001 — Open exact plan page → R0110-007-000 Regional PPO
Exact segment geography HumanaChoice R0110-007 (Regional PPO)
Humana
- Premium
- $0 / month
- MOOP
- $4,750 in-network
- Drug coverage
- Not reported
R0110-007-000 — Open exact plan page → R0110-008-000 Regional PPO
Exact segment geography HumanaChoice R0110-008 (Regional PPO)
Humana
Prescription-drug coverage reported
- Premium
- $75 / month
- MOOP
- $7,150 in-network
- Drug coverage
- Reported
R0110-008-000 — Open exact plan page → H5216-227-000 Local PPO
Exact segment geography HumanaChoice SNP-DE H5216-227 (PPO D-SNP)
Humana
Dual-EligiblePrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H5216-227-000 — Open exact plan page → H7617-048-000 Local PPO
Exact segment geography HumanaChoice SNP-DE H7617-048 (PPO D-SNP)
Humana
Dual-EligiblePrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H7617-048-000 — Open exact plan page → H9207-004-000 HMO
Exact segment geography Jefferson Health Plans Special (HMO D-SNP)
Jefferson Health Plans
Dual-EligiblePrescription-drug coverage reported
- Premium
- $12.80 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H9207-004-000 — Open exact plan page → H3419-006-000 HMO
Exact segment geography Perennial Advantage Freedom (HMO)
Perennial Advantage
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $4,500 in-network
- Drug coverage
- Reported
H3419-006-000 — Open exact plan page → H3419-007-000 HMO
Exact segment geography Perennial Advantage Premier (HMO I-SNP)
Perennial Advantage
InstitutionalPrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $4,500 in-network
- Drug coverage
- Reported
H3419-007-000 — Open exact plan page → H3419-005-000 HMO
Exact segment geography Perennial Advantage Strive (HMO I-SNP)
Perennial Advantage
InstitutionalPrescription-drug coverage reported
- Premium
- $12.80 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H3419-005-000 — Open exact plan page → H5253-146-000 HMOPOS
Exact segment geography AARP Medicare Advantage from UHC PA-0002 (HMO-POS)
UnitedHealthcare
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $7,150 in-network
- Drug coverage
- Reported
H5253-146-000 — Open exact plan page → H5253-147-000 HMOPOS
Exact segment geography AARP Medicare Advantage from UHC PA-0003 (HMO-POS)
UnitedHealthcare
Prescription-drug coverage reported
- Premium
- $54 / month
- MOOP
- $6,700 in-network
- Drug coverage
- Reported
H5253-147-000 — Open exact plan page → H2406-047-000 Local PPO
Exact segment geography AARP Medicare Advantage from UHC PA-0008 (PPO)
UnitedHealthcare
Prescription-drug coverage reported
- Premium
- $60 / month
- MOOP
- $5,900 in-network
- Drug coverage
- Reported
H2406-047-000 — Open exact plan page → H2406-101-000 Local PPO
Exact segment geography AARP Medicare Advantage Giveback from UHC PA-12 (PPO)
UnitedHealthcare
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $9,200 in-network
- Drug coverage
- Reported
H2406-101-000 — Open exact plan page → H5253-152-000 HMOPOS
Exact segment geography AARP Medicare Advantage Patriot No Rx PA-MA01 (HMO-POS)
UnitedHealthcare
- Premium
- $0 / month
- MOOP
- $7,150 in-network
- Drug coverage
- Not reported
H5253-152-000 — Open exact plan page → H5253-192-000 HMOPOS
Exact segment geography UHC Complete Care PA-17 (HMO-POS C-SNP)
UnitedHealthcare
Chronic or Disabling ConditionPrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $7,150 in-network
- Drug coverage
- Reported
H5253-192-000 — Open exact plan page → H5253-234-001 HMOPOS
Exact segment geography UHC Complete Care Support PA-1A (HMO-POS C-SNP)
UnitedHealthcare
Chronic or Disabling ConditionPrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H5253-234-001 — Open exact plan page → H3113-014-000 HMOPOS
Exact segment geography UHC Dual Advantage PA-V1 (HMO-POS D-SNP)
UnitedHealthcare
Dual-EligiblePrescription-drug coverage reported
- Premium
- $12.80 / month
- MOOP
- $7,150 in-network
- Drug coverage
- Reported
H3113-014-000 — Open exact plan page → H1889-007-000 Local PPO
Exact segment geography UHC Dual Complete PA-S001 (PPO D-SNP)
UnitedHealthcare
Dual-EligiblePrescription-drug coverage reported
- Premium
- $11.70 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H1889-007-000 — Open exact plan page → H3113-009-000 HMOPOS
Exact segment geography UHC Dual Complete PA-S002 (HMO-POS D-SNP)
UnitedHealthcare
Dual-EligiblePrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H3113-009-000 — Open exact plan page → H3113-016-000 HMOPOS
Exact segment geography UHC Dual Complete PA-S3 (HMO-POS D-SNP)
UnitedHealthcare
Dual-EligiblePrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H3113-016-000 — Open exact plan page → H0710-017-000 Local PPO
Exact segment geography UHC Nursing Home Plan EX-F002 (PPO I-SNP)
UnitedHealthcare
InstitutionalPrescription-drug coverage reported
- Premium
- $12.50 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H0710-017-000 — Open exact plan page → H5533-017-001 Local PPO
Exact segment geography UPMC for Life Essential Rx (PPO)
UPMC for Life
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $8,000 in-network
- Drug coverage
- Reported
H5533-017-001 — Open exact plan page → H3907-037-000 HMO
Exact segment geography UPMC for Life HMO Deductible Rx (HMO)
UPMC for Life
Prescription-drug coverage reported
- Premium
- $25 / month
- MOOP
- $6,000 in-network
- Drug coverage
- Reported
H3907-037-000 — Open exact plan page → H3907-002-000 HMO
Exact segment geography UPMC for Life HMO No Rx (HMO)
UPMC for Life
- Premium
- $0 / month
- MOOP
- $6,500 in-network
- Drug coverage
- Not reported
H3907-002-000 — Open exact plan page → H3907-059-001 HMO
Exact segment geography UPMC for Life HMO Premier Rx (HMO)
UPMC for Life
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $6,500 in-network
- Drug coverage
- Reported
H3907-059-001 — Open exact plan page → H3907-058-001 HMO
Exact segment geography UPMC for Life HMO Rx (HMO)
UPMC for Life
Prescription-drug coverage reported
- Premium
- $90 / month
- MOOP
- $4,500 in-network
- Drug coverage
- Reported
H3907-058-001 — Open exact plan page → H3907-057-002 HMO
Exact segment geography UPMC for Life HMO Rx Choice (HMO)
UPMC for Life
Prescription-drug coverage reported
- Premium
- $33 / month
- MOOP
- $6,000 in-network
- Drug coverage
- Reported
H3907-057-002 — Open exact plan page → H3907-006-000 HMO
Exact segment geography UPMC for Life HMO Rx Enhanced (HMO)
UPMC for Life
Prescription-drug coverage reported
- Premium
- $295 / month
- MOOP
- $7,550 in-network
- Drug coverage
- Reported
H3907-006-000 — Open exact plan page → H5533-003-000 Local PPO
Exact segment geography UPMC for Life PPO High Deductible Rx (PPO)
UPMC for Life
Prescription-drug coverage reported
- Premium
- $33 / month
- MOOP
- $7,550 in-network
- Drug coverage
- Reported
H5533-003-000 — Open exact plan page → H5533-013-000 Local PPO
Exact segment geography UPMC for Life PPO Premier Rx (PPO)
UPMC for Life
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $7,150 in-network
- Drug coverage
- Reported
H5533-013-000 — Open exact plan page → H5533-020-000 Local PPO
Exact segment geography UPMC for Life PPO Rx Choice (PPO)
UPMC for Life
Prescription-drug coverage reported
- Premium
- $43 / month
- MOOP
- $7,000 in-network
- Drug coverage
- Reported
H5533-020-000 — Open exact plan page → H5533-005-000 Local PPO
Exact segment geography UPMC for Life PPO Rx Enhanced (PPO)
UPMC for Life
Prescription-drug coverage reported
- Premium
- $155 / month
- MOOP
- $7,550 in-network
- Drug coverage
- Reported
H5533-005-000 — Open exact plan page → H5533-016-001 Local PPO
Exact segment geography UPMC for Life PPO Salute (PPO)
UPMC for Life
- Premium
- $0 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Not reported
H5533-016-001 — Open exact plan page → H4279-007-001 HMO
Exact segment geography UPMC for Life Complete Care (HMO D-SNP)
UPMC for Life Complete Care
Dual-EligiblePrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H4279-007-001 — Open exact plan page → H4227-002-000 HMO
Exact segment geography Amerihealth Caritas VIP Care (HMO D-SNP)
VISTA Health Plan Inc.
Dual-EligiblePrescription-drug coverage reported
- Premium
- $9 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H4227-002-000 — Open exact plan page → H2915-002-000 HMOPOS
Exact segment geography Wellcare PA Health & Wellness Dual Liberty Sync (HMO-POS D-SNP)
Wellcare
Dual-EligiblePrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H2915-002-000 — Open exact plan page → H2915-018-000 HMOPOS
Exact segment geography Wellcare PA Health & Wellness Dual Select (HMO-POS D-SNP)
Wellcare
Dual-EligiblePrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $5,400 in-network
- Drug coverage
- Reported
H2915-018-000 — Open exact plan page → H2915-003-000 HMOPOS
Exact segment geography Wellcare Simple (HMO-POS)
Wellcare
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H2915-003-000 — Open exact plan page →